Provider Demographics
NPI:1770543266
Name:RODRIGUEZ ABLES, LILIA (MD)
Entity type:Individual
Prefix:
First Name:LILIA
Middle Name:
Last Name:RODRIGUEZ ABLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8362 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4180
Mailing Address - Country:US
Mailing Address - Phone:305-269-6989
Mailing Address - Fax:305-269-1830
Practice Address - Street 1:8362 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4180
Practice Address - Country:US
Practice Address - Phone:305-269-6989
Practice Address - Fax:305-269-1830
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066440208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375882601Medicaid
FLF-89916Medicare UPIN
FL375882601Medicaid